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General NPI Number Information
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NPI Number | 1558911073
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Entity Type | Individual
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Provider Name | ZACHERY WRIGHT BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 02/18/2024
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Provider Practice Location Address
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Address Line | 400 N ERVAY ST UNIT 132940
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City | DALLAS
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State | TX
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Zip | 75313-0287
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Country | US
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Telephone | 614-973-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N ERVAY ST UNIT 132940
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City | DALLAS
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State | TX
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Zip | 75313-0287
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Country | US
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Telephone | 614-973-1480
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 5615
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License Number State | TX
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